QUALITY MANAGEMENT SYSTEM IN THE PREVENTION OF COMPLICATIONS AND ERRORS IN NEUROSURGERY
Abstract
Complications and side effects are undesirable but inevitable events in any medical specialty, including neurosurgery. The professionalism and experience of a specialist play an important role in the prevention and timely detection of negative events, but they cannot ensure complete patients’ safety, which is largely determined by the entire work of the clinic and communications between various services and specialists. The quality management system (QMS), as a systematic approach to the prevention of negative events, has proven its effectiveness in medical practice. According to a number of studies, more than half of adverse perioperative cases can be avoided by implementing various systemic patients’ safety strategies. The article presents a review of the literature on the implementation of various QMS tools in the work of neurosurgical departments and clinics. A number of studies have shown that the introduction of a surgical safety checklist into neurosurgical practice contributes to a significant reduction in the frequency of erroneous operations on the wrong side, reduces the number of infectious complications, and generally improves treatment outcomes. In addition to standardizing processes and introducing checklists, risk management tools are effective in reducing the number of complications and side effects associated with making clinical decisions and communication problems. According to some studies, risk management helps to reduce the number of adverse cases and choose the optimal tactics for managing patients with neurosurgical pathology. In general, it is worth noting that QMS tools primarily help prevent the most obvious and recurring undesirable cases, but do not always protect against exclusive ones. Nevertheless, this is quite justified, since it is not rare and exclusive, that most frequently recurring complications and errors contribute most to the unsatisfactory results of the treatment of neurosurgical patients.
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